@article{Nykyforak_Mumliev_Jiang_Kvasha_Kondratiuk_Kliuchka_Ukrainets_2018, title={Around-sellar meningiomas spreading to the optic canal}, volume={23}, url={https://enj.org.ua/index.php/journal/article/view/6}, DOI={10.26683/2304-9359-2018-1(23)-33-41}, abstractNote={<p>Objective – to optimizate of surgical treatment tactics in patients with around-sellar meningiomas involving optic canal.</p> <p>Materials and methods. The work is based on analysis of surgical treatment results of 93 (31 (33.3 %) men and 62 (66.7 %) women) patients with around-sellar meningiomas involving optic canal. The mean age was 54.6 ± 5.3 years. The tumor involve to the optic canal was recognized preoperatively according to MRI (39 cases, 41.9 %) and as an intraoperative finding (54 cases, 58.1 %). According to this the material was divided into two clinical subgroups: in the first group the early extradural decompression of optic nerve was performed, in the second – during or after tumor removal.</p> <p>Results. The totality of operation: total removal – 34 (36.6 %), subtotal – 19 (20.4 %), partial – 40 (33.0 %). The dynamics of optic nerve function in operated patients was: improvement – in 28 (30.1 %) cases, change for the worse – in 16 (17.2 %) cases, other patients – no changes. Quantity of patients with quality of life according to Karnovsky scale more than 80 points increase from 75 (80.6 %) before operation to 84 (90.3 %) after treatment.</p> <p>Conclusions. Surgical removal of around-sellar meningiomas is often complicated with tumor involving to the optic nerve canal. Bony decompression of optic nerve canal is a necessary and important stage of surgery, that provides optic nerve function preservation and totality of removal.</p&gt;}, number={1}, journal={Ukrainian Interventional Neuroradiology and Surgery}, author={Nykyforak, Z.M. and Mumliev, A.O. and Jiang, Long and Kvasha, M.S. and Kondratiuk, V.V. and Kliuchka, V.M. and Ukrainets, O.V}, year={2018}, month={Mar.}, pages={33-41} }